Citation, DOI, disclosures and article data
Citation:
Weerakkody Y, Luong D, Rock P, et al. Primary pulmonary meningioma. Reference article, Radiopaedia.org (Accessed on 25 Apr 2024) https://doi.org/10.53347/rID-69212
A primary pulmonary meningioma is a very rare form of an ectopic meningioma.
They are generally asymptomatic and incidentally discovered although rarely patients with symptoms have also been reported.
Histologically, they comprise of whorls of spindle cells interspersed with abundant psammoma bodies, and typically positive for vimentin, and EMA (epithelial membrane antigen).
CT
Typically seen as a solitary pulmonary nodule. May show homogeneous 6 or heterogeneous 3 enhancement.
History and etymology
The first case was thought to have been described by Erlandson in 1981 7 while the first report in the English literature was thought to be by Kemnitz and Heinrich in 1982.
Treatment and prognosis
These lesions are largely benign, but malignant lesions have been rarely reported 1. Many publications suggest resection in appropriate cases 7.
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1. Incarbone M, Ceresoli GL, Di Tommaso L, Cappuzzo F, Inzirillo F, Infante M, Alloisio M. Primary pulmonary meningioma: report of a case and review of the literature. (2008) Lung cancer (Amsterdam, Netherlands). 62 (3): 401-7. doi:10.1016/j.lungcan.2008.03.031 - Pubmed
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2. Huang S, Chen L, Mao Y, Tong H. Primary pulmonary meningioma: A case report. (2017) Medicine. 96 (19): e6474. doi:10.1097/MD.0000000000006474 - Pubmed
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3. Hong S, Jiang J, Zhou F, Liu J. Computed tomography findings of primary pulmonary meningioma: A case report. (2018) Medicine. 97 (2): e9651. doi:10.1097/MD.0000000000009651 - Pubmed
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4. Xu KK, Tian F, Cui Y. Primary pulmonary meningioma presenting as a micro solid nodule: A rare case report. (2018) Thoracic cancer. 9 (7): 874-876. doi:10.1111/1759-7714.12639 - Pubmed
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5. Izumi N, Nishiyama N, Iwata T, Nagano K, Tsukioka T, Hanada S, Suehiro S. Primary pulmonary meningioma presenting with hemoptysis on exertion. (2009) The Annals of thoracic surgery. 88 (2): 647-8. doi:10.1016/j.athoracsur.2008.12.058 - Pubmed
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6. Kim YY, Hong YK, Kie JH, Ryu SJ. Primary pulmonary meningioma: an unusual cause of a nodule with strong and homogeneous enhancement. (2016) Clinical imaging. 40 (1): 170-3. doi:10.1016/j.clinimag.2015.08.004 - Pubmed
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7. Picquet J, Valo I, Jousset Y, Enon B. Primary pulmonary meningioma first suspected of being a lung metastasis. (2005) The Annals of thoracic surgery. 79 (4): 1407-9. doi:10.1016/j.athoracsur.2003.10.071 - Pubmed
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8. Cura M, Smoak W, Dala R. Pulmonary meningioma: false-positive positron emission tomography for malignant pulmonary nodules. (2002) Clinical nuclear medicine. 27 (10): 701-4. doi:10.1097/01.RLU.0000027744.41282.A9 - Pubmed
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9. Luo JZ, Zhan C, Ni X, Shi Y, Wang Q. Primary pulmonary meningioma mimicking lung metastatic tumor: a case report. (2018) Journal of cardiothoracic surgery. 13 (1): 99. doi:10.1186/s13019-018-0787-5 - Pubmed
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10. de Perrot M, Kurt AM, Robert J, Spiliopoulos A. Primary pulmonary meningioma presenting as lung metastasis. (1999) Scandinavian cardiovascular journal : SCJ. 33 (2): 121-3. Pubmed
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